Pelvis Flashcards
pelvis
central role as biomechanical hub
- couples mechanical forces
- fascial/muscle connections
inominates
stabilize pelvic ring
pelvis
2 inominates and sacrum
anatomy of pelvis
ilium, ischium, pubis
fusion of these three bones
joints - SI, pubic symphisis, acetabulum
self-bracing mechanism
form closure
force closure
form closure
structural anatomy of wedge shaped sacrum
internal SI joint structures
keystone
compressive forces stabilizing arch
-just like sacrum of body
force closure
compressive tensile forces to create a form of stability
muscles and fascial tensions
innominate motion
rotation, flaring - physio
shearing - non-phys
rotation
physiologic
anterior/posterior
flaring
physiologic
lateral/medial
shearing
non-physiologic
superior/inferior
physiologic vs. non-physiologic
non physiologic is trauma - body forced out of its normal barriers
physiologic, wearing down of barriers over time
standing flexion test
gives laterality of somatic dysfunction
side of positive standing flexion test
same side as dysfunction
landmarks of innominate
ASIS, PSIS, pubic tubercle
middle transverse axis of SI joint
body weight - postural
inferior transverse axis of SI joint
iliosacral**
superior transverse axis of SI joint
respiratory - breathing in
axis of innominates
A/P rotation occurs about the inferior transverse axis
anterior rotation
extension of hip
posterior rotation
flexion of hip
physiologic motion
only a problem if it gets stuck in one position
complaints with anterior rotation of innominate
tight hamstrings, spasm, sciatica on ipsi side
innominate flare
rotation along a vertical axis
medial flare or lateral flare
complaints with medial flare
tender SI ligaments
tender pubic symphysis
shear
non-phsiological
extension of hip
inflaring - anterior innominate rotation
flexion of hip
outflaring - posterior innominate rotation
innominate shear
traumatic positional change
-vertical transmission of SI joint superior or inferior
strain
beyond 3-5 mm of motion
cannot compensate = pain
upslip
all three up
downslip
all three down
shear types
upslip or downslip
pubic symphysis somatic dysfunction
superior, inferior, compressed
iliosacral motion
leg movement
sacroiliac motion
vertebral column position
pubic transverse axis
through symphysis pubis
-A/P rotations
inferior transverse axis
physiologic pivot point
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